Individual
DR. BENITA L BONSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1279 HIGHWAY 54 W, SUITE 220, FAYETTEVILLE, GA 30214-4552
(770) 991-2200
(770) 991-1341
Mailing address
1279 HIGHWAY 54 WEST, SUITE 220, FAYETTEVILLE, GA 30214-4552
(770) 991-2200
(770) 991-1341
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
053980
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
223286848A
—
GA
Enumeration date
08/10/2006
Last updated
10/22/2011
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